Medical Billing & Insurance Specialist

Cape Fear Valley Health; Jawa Barat; On-site; IDR 649,819,000 - 866,426,000; Full time

Job summary

Cape Fear Valley Health seeks a Clerical Billing Specialist to ensure accurate processing of insurance and patient billing. You will monitor denials, support coding accuracy, and coordinate all insurance workflows in a fast-paced environment.

Qualifications include a high school diploma and 3 years of physician-office billing experience; a Certified Coder credential is preferred. This role requires strong data-entry skills and attention to detail.

Qualifications

• High school diploma or equivalent required.
• Certified Coder in Medical or Professional Coding preferred.
• 3 years of experience in physician office insurance or billing preferred.
• Proficiency in reading, writing, and speaking the English language.
• Good data entry skills.
• Familiarity with medical record content and understanding of ICD-CM/CPT4 coding principals.
• Ability to assign accurate codes using good judgement within broad guidelines.
• Flexible and capable of intense concentration in a busy, noisy and crowded environment.

Responsibilities

• Ensure a highly productive, efficient, and accurate process flow of customer accounts through billing.
• Monitors insurance denials through rejection reports, research, processing and follow-up.
• Assist in monitoring correct coding and charge entry processes.
• Coordinates and monitors all insurance processing.
• Troubleshoots software/hardware problems that arise in claims production and nonpayment by carriers when related to claims processing.
• Ensures compliance with Federal regulations for maximum reimbursement.
• Process claims, edit, corrects errors and transmits to third party payers, intermediaries and/or clearing house for payment.
• Post all insurance and patient payments and adjustments.
• Review next day schedule for insurance accuracy, patient balances and eligibility.
• Other duties as assigned.

Skills

Data entry

Medical coding

English proficiency

Attention to detail

Ability to work under pressure

Education

High school diploma or equivalent

Certified Coder in Medical or Professional Coding

Tools

Billing software

Job description

Cape Fear Valley Health seeks a Clerical Billing Specialist to ensure accurate processing of insurance and patient billing. You will monitor denials, support coding accuracy, and coordinate all insurance workflows in a fast-paced environment.

Qualifications include a high school diploma and 3 years of physician-office billing experience; a Certified Coder credential is preferred. This role requires strong data-entry skills and attention to detail.